How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $7.41 Median $9.33 Typical High $15.14 | Facility | None | $7.41 | $9.33 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $11.22 | Professional | None | $7.41 | $7.41 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $14.79 Typical High $17.38 | Professional | None | $9.55 | $14.79 | $17.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $23.99 Median $63.10 Typical High $204.17 | Facility | None | $23.99 | $63.10 | $204.17 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.08 Median $9.55 Typical High $23.99 | Professional | None | $7.08 | $9.55 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $28.18 Typical High $57.54 | Facility | None | $17.78 | $28.18 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.31 Typical High $12.02 | Professional | None | $4.79 | $6.31 | $12.02 |
Medcost Setting Facility Modifier None Typical Low $7.08 Median $10.00 Typical High $67.61 | Facility | None | $7.08 | $10.00 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $18.20 Typical High $20.89 | Professional | None | $10.00 | $18.20 | $20.89 |
United Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $11.48 | Facility | None | $8.51 | $8.51 | $11.48 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.61 Typical High $13.18 | Professional | None | $3.98 | $6.61 | $13.18 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $3.72 Typical High $3.80 | Professional | 52 · Reduced service | $3.72 | $3.72 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.51 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.51 |
Where South Carolina sits
The same service costs 15.8 times more in Vermont than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 12th of 51
$13.49
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.